Guardian'S Annual Report Regarding Ward
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2(Rev. 6/16/14) CCP 0222 A
Guardian’s Annual Report Regarding Ward
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT, PROBATE DIVISION
Estate of
No. ______________________________________
__________________________________________________
A Disabled Person
GUARDIAN’S ANNUAL REPORT REGARDING WARD
Pursuant to §11a-17(b) of the Probate Act of 1975 (755 ILCS 5/11a-17(b)), _________________________________ ,
(printed name of the Guardian)
having been appointed on ___________________as Plenary Limited Guardian of the person of
(date)
__________________________________________ (the “Ward”), submits this annual Report as follows (if the Ward is
(printed name of the disabled person)
deceased, attach a copy of the death certifi cate and do not complete the numbered paragraphs of this Report):
1.
The Ward is now ________ years of age.
The Ward’s current mental diagnosis: ________________________________________________________________
The Ward’s current physical diagnosis: _______________________________________________________________
The Ward’s current mental condition: ________________________________________________________________
The Ward’s current physical condition: _______________________________________________________________
The Ward’s current social condition: ________________________________________________________________
2.
The Ward’s current living arrangements, including the place of residence, and the Guardian’s opinion as to the
appropriateness of those arrangements: ______________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
The Ward’s other places of residence since the last report and the length of stay at each place:
______________________________________________________
________________________________
______________________________________________________
________________________________
______________________________________________________
________________________________
3. Medical and dental services provided to the Ward: ______________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Educational service provided to the Ward:
______________________________________________________________________________________________
Vocational and other professional services provided to the Ward: __________________________________________
______________________________________________________________________________________________
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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